Organization
HOPE-CENTERED COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOSEPH NICHOLS M.A., LPC (CHIEF EXECUTIVE OFFICER)
(620) 778-5802
Entity
Organization
Contact information
Practice address
3608 MEADOW LN, CHAMPAIGN, IL 61822-7250
(620) 778-5819
Mailing address
3608 MEADOW LN, CHAMPAIGN, IL 61822-7250
(620) 778-5819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
178011529
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639532369
SOLE PROPRIETOR NPI
IL
Enumeration date
04/05/2016
Last updated
04/05/2016
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